Cleanliness and Neatness

Are shelves dust free and neat?

Is the carpet free of debris and vacuumed on a regular basis?

Are the countertops clutter free?

Are the outside walls clean and repaired?

Is the filling bench free of clutter?

Is the consultation area clean and professional looking?

Is the office organized?

Is the storeroom organized?

Facility

Are the hours of operation posted at drop off, pick up and drive through?

Are current licenses and registrations posted in readily visible area for the public?

Pharmacy License

DEA Registration Certificates

Pharmacist Licenses

Pharmacy Technician Licenses

Pharmacy Technician Certificates

Certificates in readily visible area for pubic

Combat Methamphetamine Epidemic Act Certificate

American Board for Certification DME accreditation

Notices in readily visible area for public

Medicare Prescription Drug Coverage and Your Rights

Medicare DMEPOS Supplies Standards

Participation in PMP of state pharmacy is located in or adjoining state

FDA-approved Generic Substituion

Refrigerator and freezer (Log form MDH IC# 141-2233 on file for 3 years)

Electronically monitored 24 hours per day

Temperatures documented twice daily (35-46 degrees) at open and close

Person checking temperatures initials in min/max field

No food or beverage kept inside pharmaceutical refrigerator or freezer or vice versa

Fire escape plan posted near exit of pharmacy

Map of store's layout including pharmacy's location

Primary escape route

Fire drill conducted at least once per year and logged

Alternate escape route

Location of designated meeting point outside of store

Goals

Is pharmacy meeting their labor management goal?

Is the pharmacy meeting their flu vaccine goal?

Is the pharmacy meeting their other vaccine goal?

Does the pharmacy have their staff meeting planned?

Has the pharmacy planned their community outreach event?

Is the pharmacy on track to complete their Mirixa goal?

Is the pharmacy on track to meet their Outcomes CMR goal?

Is the pharmacy on track to meet their NER % in Outcomes?

Misc

Is the pharmacy using the Medicare stamp correctly?

Is the pharmacy submitting Navitus claims?

Is a pharmacy person attending the weekly manager's call?

Is the pharmacy MTM lead participating in the monthly MTM calls?

Is the Weekly Dashboard posted?

Is the Weekly Dashboard up to date?

Is the Weekly Pharmacy recap posted?

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.